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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KATHERINE AHN WALLACE, D.D.S.

Active

DR. KATHERINE AHN WALLACE, D.D.S. is a General Dentistry healthcare provider located in LOS ALAMITOS, California. NPI 1790843381 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LOS ALAMITOS, CA

Registration Details

NPI Number
1790843381
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2006 (19.672389384197 yrs)
Last Updated
Jul 23, 2021
Licenses
41055 (CA)
41055 (CA)
41055 (CA)

Practice Information

Address
11121 LOS ALAMITOS BLVD STE 201
LOS ALAMITOS, CA, 907203603
Browse CA providers · Browse ZIP 90720
Phone
7142302434
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Pediatric Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Providers in LOS ALAMITOS, CA

Name Credential NPI
DR. CHRISTI ANN PETERSON D.M.D. 1568467975
DR. KIM KARL HANNAFORD D.D.S. 1598718538
DR. LARRY J. DIAMOND D.D.S. 1023039856
DR. PHUONG DUC TRAN D.D.S. 1831113968
COREY DEEBLE DDS 1194832428
DR. BARRY DEAN ISRAEL DDS 1295816031
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.